Senate 2498: Relating to Insurance [EPCC]
S2498    GENERAL BILL/CS/2ND ENG by Banking and Insurance; Garcia; Posey;
  (CO-INTRODUCERS) Fasano; Atwater  (Compare CS/CS/H 1267, H 1307, 2ND
  ENG/H 7077, CS/S 1742, CS/S 1866, S 2894)
  Insurance [EPCC]; provides that domestic & other insurers writing only
  manufactured housing policies are eligible to receive surplus note in
  specified amount; provides requirements for insurance coverage eligible
  for export for residential property risks; revises dates re exemption
  from emergency assessments for medical malpractice insurance premiums;
  provides that internal design option of Fla. Building Code remains in
  effect, etc. Amends FS.  EFFECTIVE DATE: Upon becoming law except as
  otherwise provided.
  03/01/07 SENATE Filed
  03/20/07 SENATE Introduced, referred to Banking and Insurance; Judiciary;
                  General Government Appropriations -SJ 00178
  04/04/07 SENATE On Committee agenda-- Banking and Insurance, 04/09/07, 1:15
                  pm, 412-K
  04/09/07 SENATE CS by Banking and Insurance; YEAS  8  NAYS  1 -SJ 00329; CS
                  read 1st time on 04/11/07 -SJ 00341
  04/11/07 SENATE Pending reference review under Rule 4.7(2)
  04/12/07 SENATE Remaining references corrected to General Government
                  Appropriations -SJ 00368; Now in General Government
                  Appropriations
  04/26/07 SENATE Withdrawn from General Government Appropriations -SJ 00590;
                  Placed on Calendar, on 2nd reading
  05/01/07 SENATE Placed on Special Order Calendar; Read 2nd time -SJ 00762;
                  Amendment(s) adopted (923890, 875824, 763164, 691698, 664634,
                  534590, 503514, 491638, 373312, 302598, 253852, 140218)
                  -SJ 00762; Amendment(s) failed -SJ 00764; Ordered engrossed
                  -SJ 00767
  05/02/07 SENATE Read 3rd time -SJ 00794; Amendment(s) adopted (915530,
                  724806, 593192) -SJ 00795; CS passed as amended (915530,
                  724806, 593192); YEAS  40  NAYS  0 -SJ 00795
  05/02/07 HOUSE  In Messages
  05/04/07 HOUSE  Received; Read 2nd time; Amendment(s) adopted; Read 3rd time;
                  CS passed as amended; YEAS  106  NAYS  10
  05/04/07 SENATE In returning messages; Concurred; CS passed as amended
                  (900607, 865383, 316977); YEAS  38  NAYS  0; Ordered
                  engrossed, then enrolled

CS for SB 2498 Second Engrossed 

 

1 A bill to be entitled 

2 An act relating to insurance; amending s. 

3 215.5595, F.S.; providing that domestic and 

4 other insurers writing only manufactured 

5 housing policies are eligible to receive a 

6 surplus note in a specified amount; amending s. 

7 626.916, F.S.; providing requirements for 

8 insurance coverage eligible for export for 

9 residential property risks; requiring that the

10 insured be notified that coverage may be

11 available from Citizens Property Insurance

12 Corporation; amending s. 626.914, F.S.;

13 revising the definition of the term "diligent

14 effort"; amending s. 215.555, F.S.; revising

15 the dates regarding an exemption from emergency

16 assessments for medical malpractice insurance

17 premiums; amending s. 627.351, F.S.; revising

18 legislative findings to provide a finding that 

19 the lack of affordable property insurance 

20 threatens the public health, safety, and 

21 welfare and threatens the economic health of 

22 the state; revising provisions for determining 

23 eligibility for coverage under Citizens 

24 Property Insurance Corporation; amending s. 

25 627.062, F.S.; providing that certain interest 

26 paid by an insurer may not be included in rate 

27 base or used to justify a rate or rate change; 

28 amending s. 626.9541, F.S.; providing 

29 additional unfair claim settlement practices; 

30 amending s. 627.70131, F.S.; deleting the 

31 definition of the term "insurer"; defining the 

Page

1 term "claim"; revising provisions relating to 

2 when an insurer must pay a claim; providing 

3 conditions under which interest must be paid; 

4 extending the date for increasing rates; 

5 prohibiting issuance of new certificates of 

6 authority to certain insurers; requiring rate 

7 filings of certain insurers to include certain 

8 parent company profits information; 

9 establishing a pilot program to offer optional 

10 sinkhole coverage; amending s. 626.9201, F.S.; 

11 revising requirements concerning cancellation 

12 for nonpayment of premium of policies providing 

13 coverage for property, casualty, surety, or 

14 marine insurance; defining the term "nonpayment 

15 of premium"; providing that certain contracts 

16 or contractual obligations concerning such 

17 coverage are void under specified conditions; 

18 requiring the refund of certain premiums 

19 received by an insurer; providing that the 

20 internal design option of the Florida Building 

21 Code remains in effect until a specified date 

22 for a building permit application made before 

23 that date, notwithstanding provisions of ch. 

24 2007-1, Laws of Florida; providing an effective 

25 date and for retroactive application; applying 

26 the act to any actions taken with respect to a 

27 building permit affected by such prior act; 

28 providing effective dates. 

29 

30 Be It Enacted by the Legislature of the State of Florida: 

31 

Page

1 Section 1. Paragraphs (b) and (c) of subsection (2) of 

2 section 215.5595, Florida Statutes, as amended by section 5 of 

3 chapter 2007-1, Laws of Florida, are amended to read: 

4 215.5595 Insurance Capital Build-Up Incentive 

5 Program.-- 

6 (2) The purpose of this section is to provide surplus 

7 notes to new or existing authorized residential property 

8 insurers under the Insurance Capital Build-Up Incentive 

9 Program administered by the State Board of Administration, 

10 under the following conditions: 

11 (b) The insurer must contribute an amount of new 

12 capital to its surplus which is at least equal to the amount 

13 of the surplus note and must apply to the board by July 1, 

14 2006. If an insurer applies after July 1, 2006, but before 

15 June 1, 2007, the amount of the surplus note is limited to 

16 one-half of the new capital that the insurer contributes to 

17 its surplus, except that an insurer writing only manufactured 

18 housing policies is eligible to receive a surplus note in the 

19 amount of $7 million and a domestic mutual insurer is eligible

20 to receive a surplus note in the amount of $12.5 million. For 

21 purposes of this section, new capital must be in the form of 

22 cash or cash equivalents as specified in s. 625.012(1). 

23 (c) The insurer's surplus, new capital, and the 

24 surplus note must total at least $50 million, except for 

25 insurers writing residential property insurance covering only 

26 manufactured housing or for a domestic mutual insurer. The 

27 insurer's surplus, new capital, and the surplus note must 

28 total at least $14 million for insurers writing only 

29 residential property insurance covering manufactured housing 

30 policies as provided in paragraph (a). The surplus, new 

31 

Page

1 capital, and surplus note for a domestic mutual insurer must 

2 total at least $25 million. 

3 Section 2. Paragraph (e) is added to subsection (1) of 

4 section 626.916, Florida Statutes, to read: 

5 626.916 Eligibility for export.-- 

6 (1) No insurance coverage shall be eligible for export 

7 unless it meets all of the following conditions: 

8 (e) For personal residential property risks, the 

9 retail or producing agent must advise the insured in writing 

10 that coverage may be available and may be less expensive from 

11 Citizens Property Insurance Corporation. The notice must 

12 include other information that states that Citizens' 

13 assessments are higher and the coverage provided by Citizens 

14 may be less than the property's existing coverage. If the 

15 notice is signed by the insured, it is presumed that the 

16 insured has been informed and knows that policies from 

17 Citizens Property Insurance Corporation may be less expensive, 

18 may provide less coverage, and will be accompanied by higher 

19 assessments. 20 Section 3. Subsection (4) of section 626.914, Florida 

21 Statutes, is amended to read: 

22 626.914 Definitions.--As used in this Surplus Lines 

23 Law, the term: 

24 (4) "Diligent effort" means seeking coverage from and

 25 having been rejected by at least three authorized insurers 

26 currently writing this type of coverage and documenting these 

27 rejections. However, if the residential structure has a 

28 dwelling replacement cost of $1 million or more, the term 

29 means seeking coverage from and having been rejected by at 

30 least one authorized insurer currently writing this type of 

31 coverage and documenting this rejection. 

Page

1 Section 4. Paragraph (b) of subsection (6) of section 

2 215.555, Florida Statutes, as amended by chapter 2007-1, Laws 

3 of Florida, is amended to read: 

4 215.555 Florida Hurricane Catastrophe Fund.-- 

5 (6) REVENUE BONDS.-- 

6 (b) Emergency assessments.-- 

7 1. If the board determines that the amount of revenue 

8 produced under subsection (5) is insufficient to fund the 

9 obligations, costs, and expenses of the fund and the 

10 corporation, including repayment of revenue bonds and that 

11 portion of the debt service coverage not met by reimbursement 

12 premiums, the board shall direct the Office of Insurance 

13 Regulation to levy, by order, an emergency assessment on 

14 direct premiums for all property and casualty lines of 

15 business in this state, including property and casualty 

16 business of surplus lines insurers regulated under part VIII 

17 of chapter 626, but not including any workers' compensation 

18 premiums or medical malpractice premiums. As used in this 

19 subsection, the term "property and casualty business" includes 

20 all lines of business identified on Form 2, Exhibit of 

21 Premiums and Losses, in the annual statement required of 

22 authorized insurers by s. 624.424 and any rule adopted under 

23 this section, except for those lines identified as accident 

24 and health insurance and except for policies written under the 

25 National Flood Insurance Program. The assessment shall be 

26 specified as a percentage of direct written premium and is 

27 subject to annual adjustments by the board in order to meet 

28 debt obligations. The same percentage shall apply to all 

29 policies in lines of business subject to the assessment issued 

30 or renewed during the 12-month period beginning on the 

31 effective date of the assessment. 

Page

1 2. A premium is not subject to an annual assessment 

2 under this paragraph in excess of 6 percent of premium with 

3 respect to obligations arising out of losses attributable to 

4 any one contract year, and a premium is not subject to an 

5 aggregate annual assessment under this paragraph in excess of 

6 10 percent of premium. An annual assessment under this 

7 paragraph shall continue as long as the revenue bonds issued 

8 with respect to which the assessment was imposed are 

9 outstanding, including any bonds the proceeds of which were 

10 used to refund the revenue bonds, unless adequate provision 

11 has been made for the payment of the bonds under the documents 

12 authorizing issuance of the bonds. 

13 3. Emergency assessments shall be collected from 

14 policyholders. Emergency assessments shall be remitted by 

15 insurers as a percentage of direct written premium for the 

16 preceding calendar quarter as specified in the order from the 

17 Office of Insurance Regulation. The office shall verify the 

18 accurate and timely collection and remittance of emergency 

19 assessments and shall report the information to the board in a 

20 form and at a time specified by the board. Each insurer 

21 collecting assessments shall provide the information with 

22 respect to premiums and collections as may be required by the 

23 office to enable the office to monitor and verify compliance 

24 with this paragraph. 

25 4. With respect to assessments of surplus lines 

26 premiums, each surplus lines agent shall collect the 

27 assessment at the same time as the agent collects the surplus 

28 lines tax required by s. 626.932, and the surplus lines agent 

29 shall remit the assessment to the Florida Surplus Lines 

30 Service Office created by s. 626.921 at the same time as the 

31 agent remits the surplus lines tax to the Florida Surplus 

Page

1 Lines Service Office. The emergency assessment on each insured 

2 procuring coverage and filing under s. 626.938 shall be 

3 remitted by the insured to the Florida Surplus Lines Service 

4 Office at the time the insured pays the surplus lines tax to 

5 the Florida Surplus Lines Service Office. The Florida Surplus 

6 Lines Service Office shall remit the collected assessments to 

7 the fund or corporation as provided in the order levied by the

8 Office of Insurance Regulation. The Florida Surplus Lines 

9 Service Office shall verify the proper application of such 

10 emergency assessments and shall assist the board in ensuring 

11 the accurate and timely collection and remittance of 

12 assessments as required by the board. The Florida Surplus 

13 Lines Service Office shall annually calculate the aggregate 

14 written premium on property and casualty business, other than 

15 workers' compensation and medical malpractice, procured 

16 through surplus lines agents and insureds procuring coverage 

17 and filing under s. 626.938 and shall report the information 

18 to the board in a form and at a time specified by the board. 

19 5. Any assessment authority not used for a particular 

20 contract year may be used for a subsequent contract year. If, 

21 for a subsequent contract year, the board determines that the 

22 amount of revenue produced under subsection (5) is 

23 insufficient to fund the obligations, costs, and expenses of 

24 the fund and the corporation, including repayment of revenue 

25 bonds and that portion of the debt service coverage not met by 

26 reimbursement premiums, the board shall direct the Office of

27 Insurance Regulation to levy an emergency assessment up to an 

28 amount not exceeding the amount of unused assessment authority 

29 from a previous contract year or years, plus an additional 4 

30 percent provided that the assessments in the aggregate do not 

31 exceed the limits specified in subparagraph 2. 

Page

1 6. The assessments otherwise payable to the 

2 corporation under this paragraph shall be paid to the fund 

3 unless and until the Office of Insurance Regulation and the

4 Florida Surplus Lines Service Office have received from the

5 corporation and the fund a notice, which shall be conclusive 

6 and upon which they may rely without further inquiry, that the 

7 corporation has issued bonds and the fund has no agreements in 

8 effect with local governments under paragraph (c). On or after 

9 the date of the notice and until the date the corporation has 

10 no bonds outstanding, the fund shall have no right, title, or 

11 interest in or to the assessments, except as provided in the 

12 fund's agreement with the corporation. 

13 7. Emergency assessments are not premium and are not 

14 subject to the premium tax, to the surplus lines tax, to any 

15 fees, or to any commissions. An insurer is liable for all 

16 assessments that it collects and must treat the failure of an 

17 insured to pay an assessment as a failure to pay the premium. 

18 An insurer is not liable for uncollectible assessments. 

19 8. When an insurer is required to return an unearned 

20 premium, it shall also return any collected assessment 

21 attributable to the unearned premium. A credit adjustment to 

22 the collected assessment may be made by the insurer with 

23 regard to future remittances that are payable to the fund or 

24 corporation, but the insurer is not entitled to a refund. 

25 9. When a surplus lines insured or an insured who has 

26 procured coverage and filed under s. 626.938 is entitled to 

27 the return of an unearned premium, the Florida Surplus Lines 

28 Service Office shall provide a credit or refund to the agent 

29 or such insured for the collected assessment attributable to 

30 the unearned premium prior to remitting the emergency 

31 assessment collected to the fund or corporation. 

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1 10. The exemption of medical malpractice insurance 

2 premiums from emergency assessments under this paragraph is 

3 repealed May 31, 2010 May 31, 2007, and medical malpractice 

4 insurance premiums shall be subject to emergency assessments 

5 attributable to loss events occurring in the contract years 

6 commencing on June 1, 2010 June 1, 2007

7 Section 5. Paragraphs (a), (c), (m) and (r) of 

8 subsection (6) of section 627.351, Florida Statutes, as 

9 amended by section 21 of chapter 2007-1, Laws of Florida, are 

10 amended, and paragraph (ff) is added to that subsection, to 

11 read: 

12 627.351 Insurance risk apportionment plans.-- 

13 (6) CITIZENS PROPERTY INSURANCE CORPORATION.-- 

14 (a)1. It is the public purpose of this subsection to 

15 ensure the existence of an orderly market for property 

16 insurance for Floridians and Florida businesses. The 

17 Legislature finds that private insurers are unwilling or 

18 unable to provide affordable property insurance coverage in 

19 this state to the extent sought and needed. The absence of 

20 affordable property insurance threatens the public health, 

21 safety, and welfare and likewise threatens the economic health 

22 of the state. The state therefore has a compelling public 

23 interest and a public purpose to assist in assuring that 

24 property in the state is insured and that it is insured at 

25 affordable rates so as to facilitate the remediation, 

26 reconstruction, and replacement of damaged or destroyed 

27 property in order to reduce or avoid the negative effects 

28 otherwise resulting to the public health, safety, and welfare; 

29 to the economy of the state; and to the revenues of the state 

30 and local governments which are needed to provide for the 

31 public welfare. It is necessary, therefore, to provide 

Page

1 affordable property insurance to applicants who are in good 

2 faith entitled to procure insurance through the voluntary 

3 market but are unable to do so. The Legislature intends by 

4 this subsection that affordable property insurance be provided 

5 and that it continue to be provided, as long as necessary, 

6 through Citizens Property Insurance Corporation, a government 

7 entity that is an integral part of the state, and that is not 

8 a private insurance company. To that end, Citizens Property 

9 Insurance Company shall strive to increase the availability of 

10 affordable property insurance in this state, while achieving 

11 efficiencies and economies, and while providing service to 

12 policyholders, applicants, and agents which is no less than 

13 the quality generally provided in the voluntary market, for 

14 the achievement of the foregoing public purposes. Because it 

15 is essential for this government entity to have the maximum 

16 financial resources to pay claims following a catastrophic 

17 hurricane, it is the intent of the Legislature that Citizens 

18 Property Insurance Corporation continue to be an integral part 

19 of the state and that the income of the corporation be exempt 

20 from federal income taxation and that interest on the debt 

21 obligations issued by the corporation be exempt from federal 

22 income taxation. The Legislature finds that actual and 

23 threatened catastrophic losses to property in this state from 

24 hurricanes have caused insurers to be unwilling or unable to 

25 provide property insurance coverage to the extent sought and 

26 needed. It is in the public interest and a public purpose to 

27 assist in assuring that property in the state is insured so as 

28 to facilitate the remediation, reconstruction, and replacement 

29 of damaged or destroyed property in order to reduce or avoid 

30 the negative effects otherwise resulting to the public health, 

31 safety, and welfare; to the economy of the state; and to the 

Page 10 

1 revenues of the state and local governments needed to provide 

2 for the public welfare. It is necessary, therefore, to provide 

3 property insurance to applicants who are in good faith 

4 entitled to procure insurance through the voluntary market but 

5 are unable to do so. The Legislature intends by this 

6 subsection that property insurance be provided and that it 

7 continues, as long as necessary, through an entity organized 

8 to achieve efficiencies and economies, while providing service 

9 to policyholders, applicants, and agents that is no less than 

10 the quality generally provided in the voluntary market, all 

11 toward the achievement of the foregoing public purposes. 

12 Because it is essential for the corporation to have the 

13 maximum financial resources to pay claims following a 

14 catastrophic hurricane, it is the intent of the Legislature 

15 that the income of the corporation be exempt from federal 

16 income taxation and that interest on the debt obligations 

17 issued by the corporation be exempt from federal income 

18 taxation. 

19 2. The Residential Property and Casualty Joint 

20 Underwriting Association originally created by this statute 

21 shall be known, as of July 1, 2002, as the Citizens Property 

22 Insurance Corporation. The corporation shall provide insurance 

23 for residential and commercial property, for applicants who 

24 are in good faith entitled, but are unable, to procure 

25 insurance through the voluntary market. The corporation shall 

26 operate pursuant to a plan of operation approved by order of 

27 the Financial Services Commission. The plan is subject to 

28 continuous review by the commission. The commission may, by 

29 order, withdraw approval of all or part of a plan if the 

30 commission determines that conditions have changed since 

31 approval was granted and that the purposes of the plan require 

Page 11 

1 changes in the plan. The corporation shall continue to operate 

2 pursuant to the plan of operation approved by the Office of 

3 Insurance Regulation until October 1, 2006. For the purposes 

4 of this subsection, residential coverage includes both 

5 personal lines residential coverage, which consists of the 

6 type of coverage provided by homeowner's, mobile home owner's, 

7 dwelling, tenant's, condominium unit owner's, and similar 

8 policies, and commercial lines residential coverage, which 

9 consists of the type of coverage provided by condominium 

10 association, apartment building, and similar policies. 

11 3. For the purposes of this subsection, the term 

12 "homestead property" means: 

13 a. Property that has been granted a homestead 

14 exemption under chapter 196; 

15 b. Property for which the owner has a current, written 

16 lease with a renter for a term of at least 7 months and for 

17 which the dwelling is insured by the corporation for $200,000 

18 or less; 

19 c. An owner-occupied mobile home or manufactured home, 

20 as defined in s. 320.01, which is permanently affixed to real 

21 property, is owned by a Florida resident, and has been granted 

22 a homestead exemption under chapter 196 or, if the owner does 

23 not own the real property, the owner certifies that the mobile 

24 home or manufactured home is his or her principal place of 

25 residence; 

26 d. Tenant's coverage; 

27 e. Commercial lines residential property; or 

28 f. Any county, district, or municipal hospital; a 

29 hospital licensed by any not-for-profit corporation qualified 

30 under s. 501(c)(3) of the United States Internal Revenue Code; 

31 or a continuing care retirement community that is certified 

Page 12 

1 under chapter 651 and that receives an exemption from ad 

2 valorem taxes under chapter 196. 

3 4. For the purposes of this subsection, the term 

4 "nonhomestead property" means property that is not homestead 

5 property. 

6 5. Effective January 1, 2009 July 1, 2008, a personal 

7 lines residential structure that has a dwelling replacement 

8 cost of $1 million or more, or a single condominium unit that 

9 has a combined dwelling and content replacement cost of $1 

10 million or more is not eligible for coverage by the 

11 corporation. Such dwellings insured by the corporation on 

12 December 31, 2008 June 30, 2008, may continue to be covered by 

13 the corporation until the end of the policy term. However, 

14 such dwellings that are insured by the corporation and become 

15 ineligible for coverage due to the provisions of this 

16 subparagraph may reapply and obtain coverage in the high-risk 

17 account and be considered "nonhomestead property" if the 

18 property owner provides the corporation with a sworn affidavit 

19 from one or more insurance agents, on a form provided by the 

20 corporation, stating that the agents have made their best 

21 efforts to obtain coverage and that the property has been 

22 rejected for coverage by at least one authorized insurer and 

23 at least three surplus lines insurers. If such conditions are 

24 met, the dwelling may be insured by the corporation for up to 

25 3 years, after which time the dwelling is ineligible for 

26 coverage. The office shall approve the method used by the 

27 corporation for valuing the dwelling replacement cost for the 

28 purposes of this subparagraph. If a policyholder is insured by 

29 the corporation prior to being determined to be ineligible 

30 pursuant to this subparagraph and such policyholder files a 

31 lawsuit challenging the determination, the policyholder may 

Page 13 

1 remain insured by the corporation until the conclusion of the 

2 litigation. 

3 6. For properties constructed on or after January 1, 

4 2009, the corporation may not insure any property located 

5 within 2,500 feet landward of the coastal construction control 

6 line created pursuant to s. 161.053 unless the property meets 

7 the requirements of the code-plus building standards developed 

8 by the Florida Building Commission. 

9 7. It is the intent of the Legislature that 

10 policyholders, applicants, and agents of the corporation 

11 receive service and treatment of the highest possible level 

12 but never less than that generally provided in the voluntary 

13 market. It also is intended that the corporation be held to 

14 service standards no less than those applied to insurers in 

15 the voluntary market by the office with respect to 

16 responsiveness, timeliness, customer courtesy, and overall 

17 dealings with policyholders, applicants, or agents of the 

18 corporation. 

19 (c) The plan of operation of the corporation: 

20 1. Must provide for adoption of residential property 

21 and casualty insurance policy forms and commercial residential 

22 and nonresidential property insurance forms, which forms must 

23 be approved by the office prior to use. The corporation shall 

24 adopt the following policy forms: 

25 a. Standard personal lines policy forms that are 

26 comprehensive multiperil policies providing full coverage of a 

27 residential property equivalent to the coverage provided in 

28 the private insurance market under an HO-3, HO-4, or HO-6 

29 policy. 

30 b. Basic personal lines policy forms that are policies 

31 similar to an HO-8 policy or a dwelling fire policy that 

Page 14 

1 provide coverage meeting the requirements of the secondary 

2 mortgage market, but which coverage is more limited than the 

3 coverage under a standard policy. 

4 c. Commercial lines residential and nonresidential 

5 policy forms that are generally similar to the basic perils of 

6 full coverage obtainable for commercial residential structures 

7 and commercial nonresidential structures in the admitted 

8 voluntary market. 

9 d. Personal lines and commercial lines residential 

10 property insurance forms that cover the peril of wind only. 

11 The forms are applicable only to residential properties 

12 located in areas eligible for coverage under the high-risk 

13 account referred to in sub-subparagraph (b)2.a. 

14 e. Commercial lines nonresidential property insurance 

15 forms that cover the peril of wind only. The forms are 

16 applicable only to nonresidential properties located in areas 

17 eligible for coverage under the high-risk account referred to 

18 in sub-subparagraph (b)2.a. 

19 f. The corporation may adopt variations of the policy 

20 forms listed in sub-subparagraphs a.-e. that contain more 

21 restrictive coverage. 

22 2.a. Must provide that the corporation adopt a program 

23 in which the corporation and authorized insurers enter into 

24 quota share primary insurance agreements for hurricane 

25 coverage, as defined in s. 627.4025(2)(a), for eligible risks, 

26 and adopt property insurance forms for eligible risks which 

27 cover the peril of wind only. As used in this subsection, the 

28 term: 

29 (I) "Quota share primary insurance" means an 

30 arrangement in which the primary hurricane coverage of an 

31 eligible risk is provided in specified percentages by the 

Page 15 

1 corporation and an authorized insurer. The corporation and 

2 authorized insurer are each solely responsible for a specified 

3 percentage of hurricane coverage of an eligible risk as set 

4 forth in a quota share primary insurance agreement between the 

5 corporation and an authorized insurer and the insurance 

6 contract. The responsibility of the corporation or authorized 

7 insurer to pay its specified percentage of hurricane losses of 

8 an eligible risk, as set forth in the quota share primary 

9 insurance agreement, may not be altered by the inability of 

10 the other party to the agreement to pay its specified 

11 percentage of hurricane losses. Eligible risks that are 

12 provided hurricane coverage through a quota share primary 

13 insurance arrangement must be provided policy forms that set 

14 forth the obligations of the corporation and authorized 

15 insurer under the arrangement, clearly specify the percentages 

16 of quota share primary insurance provided by the corporation 

17 and authorized insurer, and conspicuously and clearly state 

18 that neither the authorized insurer nor the corporation may be 

19 held responsible beyond its specified percentage of coverage 

20 of hurricane losses. 

21 (II) "Eligible risks" means personal lines residential 

22 and commercial lines residential risks that meet the 

23 underwriting criteria of the corporation and are located in 

24 areas that were eligible for coverage by the Florida Windstorm 

25 Underwriting Association on January 1, 2002. 

26 b. The corporation may enter into quota share primary 

27 insurance agreements with authorized insurers at corporation 

28 coverage levels of 90 percent and 50 percent. 

29 c. If the corporation determines that additional 

30 coverage levels are necessary to maximize participation in 

31 quota share primary insurance agreements by authorized 

Page 16 

1 insurers, the corporation may establish additional coverage 

2 levels. However, the corporation's quota share primary 

3 insurance coverage level may not exceed 90 percent. 

4 d. Any quota share primary insurance agreement entered 

5 into between an authorized insurer and the corporation must

 6 provide for a uniform specified percentage of coverage of 

7 hurricane losses, by county or territory as set forth by the 

8 corporation board, for all eligible risks of the authorized 

9 insurer covered under the quota share primary insurance 

10 agreement. 

11 e. Any quota share primary insurance agreement entered 

12 into between an authorized insurer and the corporation is 

13 subject to review and approval by the office. However, such 

14 agreement shall be authorized only as to insurance contracts 

15 entered into between an authorized insurer and an insured who 

16 is already insured by the corporation for wind coverage. 

17 f. For all eligible risks covered under quota share 

18 primary insurance agreements, the exposure and coverage levels 

19 for both the corporation and authorized insurers shall be 

20 reported by the corporation to the Florida Hurricane 

21 Catastrophe Fund. For all policies of eligible risks covered 

22 under quota share primary insurance agreements, the 

23 corporation and the authorized insurer shall maintain complete 

24 and accurate records for the purpose of exposure and loss 

25 reimbursement audits as required by Florida Hurricane 

26 Catastrophe Fund rules. The corporation and the authorized 

27 insurer shall each maintain duplicate copies of policy 

28 declaration pages and supporting claims documents. 

29 g. The corporation board shall establish in its plan 

30 of operation standards for quota share agreements which ensure 

31 that there is no discriminatory application among insurers as 

Page 17

1 to the terms of quota share agreements, pricing of quota share 

2 agreements, incentive provisions if any, and consideration 

3 paid for servicing policies or adjusting claims. 

4 h. The quota share primary insurance agreement between 

5 the corporation and an authorized insurer must set forth the 

6 specific terms under which coverage is provided, including, 

7 but not limited to, the sale and servicing of policies issued 

8 under the agreement by the insurance agent of the authorized 

9 insurer producing the business, the reporting of information 

10 concerning eligible risks, the payment of premium to the 

11 corporation, and arrangements for the adjustment and payment 

12 of hurricane claims incurred on eligible risks by the claims 

13 adjuster and personnel of the authorized insurer. Entering 

14 into a quota sharing insurance agreement between the 

15 corporation and an authorized insurer shall be voluntary and 

16 at the discretion of the authorized insurer. 

17 3. May provide that the corporation may employ or 

18 otherwise contract with individuals or other entities to 

19 provide administrative or professional services that may be 

20 appropriate to effectuate the plan. The corporation shall have 

21 the power to borrow funds, by issuing bonds or by incurring 

22 other indebtedness, and shall have other powers reasonably 

23 necessary to effectuate the requirements of this subsection, 

24 including, without limitation, the power to issue bonds and 

25 incur other indebtedness in order to refinance outstanding 

26 bonds or other indebtedness. The corporation may, but is not 

27 required to, seek judicial validation of its bonds or other 

28 indebtedness under chapter 75. The corporation may issue bonds 

29 or incur other indebtedness, or have bonds issued on its 

30 behalf by a unit of local government pursuant to subparagraph 

31 (g)2., in the absence of a hurricane or other weather-related 

Page 18 

1 event, upon a determination by the corporation, subject to 

2 approval by the office, that such action would enable it to 

3 efficiently meet the financial obligations of the corporation 

4 and that such financings are reasonably necessary to 

5 effectuate the requirements of this subsection. The 

6 corporation is authorized to take all actions needed to 

7 facilitate tax-free status for any such bonds or indebtedness, 

8 including formation of trusts or other affiliated entities. 

9 The corporation shall have the authority to pledge 

10 assessments, projected recoveries from the Florida Hurricane 

11 Catastrophe Fund, other reinsurance recoverables, market 

12 equalization and other surcharges, and other funds available 

13 to the corporation as security for bonds or other 

14 indebtedness. In recognition of s. 10, Art. I of the State 

15 Constitution, prohibiting the impairment of obligations of 

16 contracts, it is the intent of the Legislature that no action 

17 be taken whose purpose is to impair any bond indenture or 

18 financing agreement or any revenue source committed by 

19 contract to such bond or other indebtedness. 

20 4.a. Must require that the corporation operate subject 

21 to the supervision and approval of a board of governors 

22 consisting of eight individuals who are residents of this 

23 state, from different geographical areas of this state. The 

24 Governor, the Chief Financial Officer, the President of the 

25 Senate, and the Speaker of the House of Representatives shall 

26 each appoint two members of the board. At least one of the two 

27 members appointed by each appointing officer must have 

28 demonstrated expertise in insurance. The Chief Financial 

29 Officer shall designate one of the appointees as chair. All 

30 board members serve at the pleasure of the appointing officer. 

31 All members of the board of governors are subject to removal 

Page 19 

1 at will by the officers who appointed them. All board members, 

2 including the chair, must be appointed to serve for 3-year

3 terms beginning annually on a date designated by the plan. Any 

4 board vacancy shall be filled for the unexpired term by the 

5 appointing officer. The Chief Financial Officer shall appoint 

6 a technical advisory group to provide information and advice 

7 to the board of governors in connection with the board's 

8 duties under this subsection. The executive director and 

9 senior managers of the corporation shall be engaged by the 

10 board and serve at the pleasure of the board. Any executive 

11 director appointed on or after July 1, 2006, is subject to 

12 confirmation by the Senate. The executive director is 

13 responsible for employing other staff as the corporation may 

14 require, subject to review and concurrence by the board. 

15 b. The board shall create a Market Accountability 

16 Advisory Committee to assist the corporation in developing 

17 awareness of its rates and its customer and agent service 

18 levels in relationship to the voluntary market insurers 

19 writing similar coverage. The members of the advisory 

20 committee shall consist of the following 11 persons, one of 

21 whom must be elected chair by the members of the committee: 

22 four representatives, one appointed by the Florida Association 

23 of Insurance Agents, one by the Florida Association of 

24 Insurance and Financial Advisors, one by the Professional 

25 Insurance Agents of Florida, and one by the Latin American 

26 Association of Insurance Agencies; three representatives 

27 appointed by the insurers with the three highest voluntary 

28 market share of residential property insurance business in the 

29 state; one representative from the Office of Insurance 

30 Regulation; one consumer appointed by the board who is insured 

31 by the corporation at the time of appointment to the 

Page 20 

1 committee; one representative appointed by the Florida 

2 Association of Realtors; and one representative appointed by 

3 the Florida Bankers Association. All members must serve for 

4 3-year terms and may serve for consecutive terms. The

5 committee shall report to the corporation at each board

6 meeting on insurance market issues which may include rates and 

7 rate competition with the voluntary market; service, including 

8 policy issuance, claims processing, and general responsiveness 

9 to policyholders, applicants, and agents; and matters relating 

10 to depopulation. 

11 5. Must provide a procedure for determining the 

12 eligibility of a risk for coverage, as follows: 

13 a. Subject to the provisions of s. 627.3517, with 

14 respect to personal lines residential risks, if the risk is 

15 offered coverage from an authorized insurer at the insurer's 

16 approved rate under either a standard policy including wind 

17 coverage or, if consistent with the insurer's underwriting 

18 rules as filed with the office, a basic policy including wind 

19 coverage, for a new application to the corporation for 

20 coverage, the risk is not eligible for any policy issued by 

21 the corporation unless the premium for coverage from the 

22 authorized insurer is more than 15 25 percent greater than the 

23 premium for comparable coverage from the corporation. If the 

24 risk is not able to obtain any such offer, the risk is 

25 eligible for either a standard policy including wind coverage 

26 or a basic policy including wind coverage issued by the 

27 corporation; however, if the risk could not be insured under a 

28 standard policy including wind coverage regardless of market 

29 conditions, the risk shall be eligible for a basic policy 

30 including wind coverage unless rejected under subparagraph 8.

31 However, with regard to a policyholder of the corporation, the 

Page 21 

1 policyholder remains eligible for coverage from the 

2 corporation regardless of any offer of coverage from an 

3 authorized insurer or surplus lines insurer. The corporation 

4 shall determine the type of policy to be provided on the basis 

5 of objective standards specified in the underwriting manual 

6 and based on generally accepted underwriting practices. 

7 (I) If the risk accepts an offer of coverage through 

8 the market assistance plan or an offer of coverage through a 

9 mechanism established by the corporation before a policy is 

10 issued to the risk by the corporation or during the first 30 

11 days of coverage by the corporation, and the producing agent 

12 who submitted the application to the plan or to the 

13 corporation is not currently appointed by the insurer, the 

14 insurer shall: 

15 (A) Pay to the producing agent of record of the 

16 policy, for the first year, an amount that is the greater of 

17 the insurer's usual and customary commission for the type of 

18 policy written or a fee equal to the usual and customary 

19 commission of the corporation; or

 20 (B) Offer to allow the producing agent of record of 

21 the policy to continue servicing the policy for a period of 

22 not less than 1 year and offer to pay the agent the greater of 

23 the insurer's or the corporation's usual and customary 

24 commission for the type of policy written. 

25 

26 If the producing agent is unwilling or unable to accept 

27 appointment, the new insurer shall pay the agent in accordance 

28 with sub-sub-sub-subparagraph (A). 

29 (II) When the corporation enters into a contractual 

30 agreement for a take-out plan, the producing agent of record 

31 

Page 22 

1 of the corporation policy is entitled to retain any unearned 

2 commission on the policy, and the insurer shall: 

3 (A) Pay to the producing agent of record of the 

4 corporation policy, for the first year, an amount that is the 

5 greater of the insurer's usual and customary commission for

6 the type of policy written or a fee equal to the usual and 

7 customary commission of the corporation; or 

8 (B) Offer to allow the producing agent of record of 

9 the corporation policy to continue servicing the policy for a 

10 period of not less than 1 year and offer to pay the agent the 

11 greater of the insurer's or the corporation's usual and 

12 customary commission for the type of policy written. 

13 14 If the producing agent is unwilling or unable to accept 

15 appointment, the new insurer shall pay the agent in accordance 

16 with sub-sub-sub-subparagraph (A). 

17 b. With respect to commercial lines residential risks, 

18 for a new application to the corporation for coverage, if the 

19 risk is offered coverage under a policy including wind 

20 coverage from an authorized insurer at its approved rate, the 

21 risk is not eligible for any policy issued by the corporation 

22 unless the premium for coverage from the authorized insurer is 

23 more than 15 25 percent greater than the premium for 

24 comparable coverage from the corporation. If the risk is not 

25 able to obtain any such offer, the risk is eligible for a 

26 policy including wind coverage issued by the corporation. 

27 However, with regard to a policyholder of the corporation, the 

28 policyholder remains eligible for coverage from the 

29 corporation regardless of any offer of coverage from an 

30 authorized insurer or surplus lines insurer. 

31 

Page 23 

1 (I) If the risk accepts an offer of coverage through 

2 the market assistance plan or an offer of coverage through a 

3 mechanism established by the corporation before a policy is 

4 issued to the risk by the corporation or during the first 30

5 days of coverage by the corporation, and the producing agent 

6 who submitted the application to the plan or the corporation 

7 is not currently appointed by the insurer, the insurer shall: 

8 (A) Pay to the producing agent of record of the 

9 policy, for the first year, an amount that is the greater of 

10 the insurer's usual and customary commission for the type of 

11 policy written or a fee equal to the usual and customary 

12 commission of the corporation; or 

13 (B) Offer to allow the producing agent of record of 

14 the policy to continue servicing the policy for a period of 

15 not less than 1 year and offer to pay the agent the greater of 

16 the insurer's or the corporation's usual and customary 

17 commission for the type of policy written. 

18 

19 If the producing agent is unwilling or unable to accept 

20 appointment, the new insurer shall pay the agent in accordance

21 with sub-sub-sub-subparagraph (A). 

22 (II) When the corporation enters into a contractual 

23 agreement for a take-out plan, the producing agent of record 

24 of the corporation policy is entitled to retain any unearned 

25 commission on the policy, and the insurer shall: 

26 (A) Pay to the producing agent of record of the 

27 corporation policy, for the first year, an amount that is the 

28 greater of the insurer's usual and customary commission for 

29 the type of policy written or a fee equal to the usual and 

30 customary commission of the corporation; or 

31 

Page 24 

1 (B) Offer to allow the producing agent of record of 

2 the corporation policy to continue servicing the policy for a 

3 period of not less than 1 year and offer to pay the agent the 

4 greater of the insurer's or the corporation's usual and

5 customary commission for the type of policy written. 

7 If the producing agent is unwilling or unable to accept 

8 appointment, the new insurer shall pay the agent in accordance 

9 with sub-sub-sub-subparagraph (A). 

10 6. Must provide by July 1, 2007, that an application 

11 for coverage for a new policy is subject to a waiting period 

12 of 10 days before coverage is effective, during which time the 

13 corporation shall make such application available for review 

14 by general lines agents and authorized property and casualty 

15 insurers. The board shall approve an exception that allows for 

16 coverage to be effective before the end of the 10-day waiting 

17 period, for coverage issued in conjunction with a real estate 

18 closing. The board may approve such other exceptions as the 

19 board determines are necessary to prevent lapses in coverage. 

20 7. Must include rules for classifications of risks and 

21 rates therefor. 

22 8. Must provide that if premium and investment income 

23 for an account attributable to a particular calendar year are 

24 in excess of projected losses and expenses for the account 

25 attributable to that year, such excess shall be held in 

26 surplus in the account. Such surplus shall be available to 

27 defray deficits in that account as to future years and shall 

28 be used for that purpose prior to assessing assessable 

29 insurers and assessable insureds as to any calendar year. 

30 9. Must provide objective criteria and procedures to 

31 be uniformly applied for all applicants in determining whether 

Page 25 

1 an individual risk is so hazardous as to be uninsurable. In 

2 making this determination and in establishing the criteria and 

3 procedures, the following shall be considered: 

4 a. Whether the likelihood of a loss for the individual 

5 risk is substantially higher than for other risks of the same 

6 class; and 7 b. Whether the uncertainty associated with the 

8 individual risk is such that an appropriate premium cannot be

9 determined. 

10 

11 The acceptance or rejection of a risk by the corporation shall 

12 be construed as the private placement of insurance, and the 

13 provisions of chapter 120 shall not apply. 

14 10. Must provide that the corporation shall make its 

15 best efforts to procure catastrophe reinsurance at reasonable 

16 rates, to cover its projected 100-year probable maximum loss 

17 as determined by the board of governors. 

18 11. Must provide that in the event of regular deficit 

19 assessments under sub-subparagraph (b)3.a. or sub-subparagraph 

20 (b)3.b., in the personal lines account, the commercial lines 

21 residential account, or the high-risk account, the corporation 

22 shall levy upon corporation policyholders in its next rate 

23 filing, or by a separate rate filing solely for this purpose, 

24 a Citizens policyholder surcharge arising from a regular 

25 assessment in such account in a percentage equal to the total 

26 amount of such regular assessments divided by the aggregate 

27 statewide direct written premium for subject lines of business 

28 for the prior calendar year. For purposes of calculating the 

29 Citizens policyholder surcharge to be levied under this 

30 subparagraph, the total amount of the regular assessment to 

31 which this surcharge is related shall be determined as set 

Page 26 

1 forth in subparagraph (b)3., without deducting the estimated 

2 Citizens policyholder surcharge. Citizens policyholder 

3 surcharges under this subparagraph are not considered premium 

4 and are not subject to commissions, fees, or premium taxes; 

5 however, failure to pay a market equalization surcharge shall 

6 be treated as failure to pay premium. 

7 12. The policies issued by the corporation must 

8 provide that, if the corporation or the market assistance plan 

9 obtains an offer from an authorized insurer to cover the risk 

10 at its approved rates, the risk is no longer eligible for 

11 renewal through the corporation, except as otherwise provided 

12 in this subsection. 

13 13. Corporation policies and applications must include 

14 a notice that the corporation policy could, under this 

15 section, be replaced with a policy issued by an authorized 

16 insurer that does not provide coverage identical to the 

17 coverage provided by the corporation. The notice shall also 

18 specify that acceptance of corporation coverage creates a 

19 conclusive presumption that the applicant or policyholder is 

20 aware of this potential. 

21 14. May establish, subject to approval by the office, 

22 different eligibility requirements and operational procedures 

23 for any line or type of coverage for any specified county or 

24 area if the board determines that such changes to the 

25 eligibility requirements and operational procedures are 

26 justified due to the voluntary market being sufficiently 

27 stable and competitive in such area or for such line or type 

28 of coverage and that consumers who, in good faith, are unable 

29 to obtain insurance through the voluntary market through 

30 ordinary methods would continue to have access to coverage 

31 from the corporation. When coverage is sought in connection 

Page 27 

1 with a real property transfer, such requirements and 

2 procedures shall not provide for an effective date of coverage 

3 later than the date of the closing of the transfer as 

4 established by the transferor, the transferee, and, if 

5 applicable, the lender. 

6 15. Must provide that, with respect to the high-risk 

7 account, any assessable insurer with a surplus as to 

8 policyholders of $25 million or less writing 25 percent or 

9 more of its total countrywide property insurance premiums in 

10 this state may petition the office, within the first 90 days 

11 of each calendar year, to qualify as a limited apportionment 

12 company. A regular assessment levied by the corporation on a 

13 limited apportionment company for a deficit incurred by the 

14 corporation for the high-risk account in 2006 or thereafter 

15 may be paid to the corporation on a monthly basis as the 

16 assessments are collected by the limited apportionment company 

17 from its insureds pursuant to s. 627.3512, but the regular 

18 assessment must be paid in full within 12 months after being 

19 levied by the corporation. A limited apportionment company 

20 shall collect from its policyholders any emergency assessment 

21 imposed under sub-subparagraph (b)3.d. The plan shall provide 

22 that, if the office determines that any regular assessment 

23 will result in an impairment of the surplus of a limited 

24 apportionment company, the office may direct that all or part 

25 of such assessment be deferred as provided in subparagraph 

26 (g)4. However, there shall be no limitation or deferment of an 

27 emergency assessment to be collected from policyholders under 

28 sub-subparagraph (b)3.d. 

29 16. Must provide that the corporation appoint as its 

30 licensed agents only those agents who also hold an appointment 

31 as defined in s. 626.015(3) with an insurer who at the time of 

Page 28 

1 the agent's initial appointment by the corporation is 

2 authorized to write and is actually writing personal lines 

3 residential property coverage, commercial residential property 

4 coverage, or commercial nonresidential property coverage 

5 within the state. 

6 17. Must provide, by July 1, 2007, a premium payment 

7 plan option to its policyholders which allows for quarterly 

8 and semiannual payment of premiums. 

9 18. Must provide, effective June 1, 2007, that the 

10 corporation contract with each insurer providing the non-wind 

11 coverage for risks insured by the corporation in the high-risk 

12 account, requiring that the insurer provide claims adjusting 

13 services for the wind coverage provided by the corporation for 

14 such risks. An insurer is required to enter into this contract 

15 as a condition of providing non-wind coverage for a risk that 

16 is insured by the corporation in the high-risk account unless 

17 the board finds, after a hearing, that the insurer is not 

18 capable of providing adjusting services at an acceptable level 

19 of quality to corporation policyholders. The terms and 

20 conditions of such contracts must be substantially the same as 

21 the contracts that the corporation executed with insurers 

22 under the "adjust-your-own" program in 2006, except as may be 

23 mutually agreed to by the parties and except for such changes 

24 that the board determines are necessary to ensure that claims 

25 are adjusted appropriately. The corporation shall provide a 

26 process for neutral arbitration of any dispute between the 

27 corporation and the insurer regarding the terms of the 

28 contract. The corporation shall review and monitor the 

29 performance of insurers under these contracts. 

30 

31 

Page 29 

1 18.19. Must limit coverage on mobile homes or 

2 manufactured homes built prior to 1994 to actual cash value of 

3 the dwelling rather than replacement costs of the dwelling. 

4 19.20. May provide such limits of coverage as the 

5 board determines, consistent with the requirements of this 

6 subsection. 

7 20.21. May require commercial property to meet 

8 specified hurricane mitigation construction features as a 

9 condition of eligibility for coverage. 

10 (m)1. Rates for coverage provided by the corporation 

11 shall be actuarially sound and subject to the requirements of 

12 s. 627.062, except as otherwise provided in this paragraph. 

13 The corporation shall file its recommended rates with the 

14 office at least annually. The corporation shall provide any 

15 additional information regarding the rates which the office 

16 requires. The office shall consider the recommendations of the 

17 board and issue a final order establishing the rates for the 

18 corporation within 45 days after the recommended rates are 

19 filed. The corporation may not pursue an administrative 

20 challenge or judicial review of the final order of the office. 

21 2. In addition to the rates otherwise determined 

22 pursuant to this paragraph, the corporation shall impose and 

23 collect an amount equal to the premium tax provided for in s. 

24 624.509 to augment the financial resources of the corporation. 

25 3. After the public hurricane loss-projection model 

26 under s. 627.06281 has been found to be accurate and reliable 

27 by the Florida Commission on Hurricane Loss Projection 

28 Methodology, that model shall serve as the minimum benchmark 

29 for determining the windstorm portion of the corporation's 

30 rates. This subparagraph does not require or allow the 

31 

Page 30 

1 corporation to adopt rates lower than the rates otherwise 

2 required or allowed by this paragraph. 

3 4. The rate filings for the corporation which were 

4 approved by the office and which took effect January 1, 2007, 

5 are rescinded, except for those rates that were lowered. As 

6 soon as possible, the corporation shall begin using the lower 

7 rates that were in effect on December 31, 2006, and shall 

8 provide refunds to policyholders who have paid higher rates as 

9 a result of that rate filing. The rates in effect on December 

10 31, 2006, shall remain in effect for the 2007 and 2008 

11 calendar years year except for any rate change that results in 

12 a lower rate. The next rate change that may increase rates 

13 shall take effect January 1, 2009 2008, pursuant to a new rate 

14 filing recommended by the corporation and established by the 

15 office, subject to the requirements of this paragraph. 

16 (r)1. There shall be no liability on the part of, and 

17 no cause of action of any nature shall arise against, any 

18 assessable insurer or its agents or employees, the corporation 

19 or its agents or employees, members of the board of governors 

20 or their respective designees at a board meeting, corporation 

21 committee members, or the office or its representatives, for 

22 any action taken by them in the performance of their duties or 

23 responsibilities under this subsection. Such immunity does not 

24 apply to: 

25 a.1. Any of the foregoing persons or entities for any 

26 willful tort; 

27 b.2. The corporation or its producing agents for 

28 breach of any contract or agreement pertaining to insurance 

29 coverage; 

30 c.3. The corporation with respect to issuance or 

31 payment of debt; or 

Page 31 

1 d.4. Any assessable insurer with respect to any action 

2 to enforce an assessable insurer's obligations to the 

3 corporation under this subsection; or. 

4 e. The corporation in any pending or future action for 

5 breach of contract or for benefits under a policy issued by 

6 the corporation; in any such action, the corporation shall be 

7 liable to the policyholders and beneficiaries for attorney's 

8 fees under s. 627.428. 

9 2. The corporation shall manage its claim employees, 

10 independent adjusters, and others who handle claims to ensure 

11 they carry out the corporation's duty to its policyholders to 

12 handle claims carefully, timely, diligently, and in good 

13 faith, balanced against the corporation's duty to the state to 

14 manage its assets responsibly to minimize its assessment 

15 potential. 

16 (ff) The office may establish a pilot program to offer 

17 optional sinkhole coverage in one or more counties or other 

18 territories of the corporation for the purpose of implementing 

19 s. 627.706, as amended by s. 30 of chapter 2007-1, Laws of 

20 Florida. Under the pilot program, the corporation is not 

21 required to issue a notice of nonrenewal to exclude sinkhole 

22 coverage upon the renewal of existing policies, but may 

23 exclude such coverage using a notice of coverage change. 

24 Section 6. Subsection (11) is added to section 

25 627.062, Florida Statutes, as amended by section 18 of chapter 

26 2007-1, Laws of Florida, to read: 

27 627.062 Rate standards.-- 

28 (11) Any interest paid pursuant to s. 627.70131(5) may 

29 not be included in the insurer's rate base and may not be used 

30 to justify a rate or rate change. 

31 

Page 32 

1 Section 7. Paragraph (i) of subsection (1) of section 

2 626.9541, Florida Statutes, is amended to read: 

3 626.9541 Unfair methods of competition and unfair or 

4 deceptive acts or practices defined.-- 

5 (1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR 

6 DECEPTIVE ACTS.--The following are defined as unfair methods 

7 of competition and unfair or deceptive acts or practices: 

 (i) Unfair claim settlement practices.-- 

9 1. Attempting to settle claims on the basis of an 

10 application, when serving as a binder or intended to become a 

11 part of the policy, or any other material document which was 

12 altered without notice to, or knowledge or consent of, the 

13 insured; 

14 2. A material misrepresentation made to an insured or 

15 any other person having an interest in the proceeds payable 

16 under such contract or policy, for the purpose and with the 

17 intent of effecting settlement of such claims, loss, or damage 

18 under such contract or policy on less favorable terms than 

19 those provided in, and contemplated by, such contract or 

20 policy; or 

21 3. A violation of s. 627.70131(5), if the insurer's 

22 handling of the claim is found to be dishonest or in reckless 

23 disregard for the rights of any insured; 

24 4. Failing to pay undisputed amounts of partial or 

25 full benefits under first-party property insurance policies 

26 within 30 days after determining the amounts of partial or 

27 full benefits and agreeing to coverage; or 

28 5.3. Committing or performing with such frequency as 

29 to indicate a general business practice any of the following: 

30 a. Failing to adopt and implement standards for the 

31 proper investigation of claims; 

Page 33 

1 b. Misrepresenting pertinent facts or insurance policy 

2 provisions relating to coverages at issue; 

3 c. Failing to acknowledge and act promptly upon 

4 communications with respect to claims; 

5 d. Denying claims without conducting reasonable 

6 investigations based upon available information; 

7 e. Failing to affirm or deny full or partial coverage 

8 of claims, and, as to partial coverage, the dollar amount or 

9 extent of coverage, or failing to provide a written statement 

10 that the claim is being investigated, upon the written request 

11 of the insured within 30 days after proof-of-loss statements 

12 have been completed; 

13 f. Failing to promptly provide a reasonable 

14 explanation in writing to the insured of the basis in the 

15 insurance policy, in relation to the facts or applicable law, 

16 for denial of a claim or for the offer of a compromise 

17 settlement; 

18 g. Failing to promptly notify the insured of any 

19 additional information necessary for the processing of a 

20 claim; or 

21 h. Failing to clearly explain the nature of the 

22 requested information and the reasons why such information is 

23 necessary. 

24 Section 8. Subsections (4) and (5) of section 

25 627.70131, Florida Statutes, as amended by section 27 of 

26 chapter 2007-1, Laws of Florida, are amended to read: 

27 627.70131 Insurer's duty to acknowledge communications 

28 regarding claims; investigation.-- 

29 (4) For purposes of this section, the term "claim" 

30 means any of the following: 

31 

Page 34 

1 (a) A claim under an insurance policy providing 

2 residential coverage as defined in s. 627.4025(1); 

3 (b) A claim for structural or contents coverage under 

4 a commercial property insurance policy if the insured 

5 structure is 10,000 square fee or less; or 

6 (c) A claim for contents coverage under a commercial 

7 tenants policy if the insured premises is 10,000 square feet 

8 or less. "insurer" means any residential property insurer. 

9 (5) Within 90 days after an insurer receives notice of 

10 a property insurance claim from a policyholder under a policy 

11 providing residential coverage as defined in s. 627.4025, the 

12 insurer shall pay or deny such claim or a portion of the claim 

13 unless the failure to pay such claim or a portion of the claim 

14 is caused by factors beyond the control of the insurer which 

15 reasonably prevent such payment. Any payment of a claim or 

16 portion of a claim paid 90 days after the insurer receives 

17 notice of the claim, or paid more than 15 days after there are 

18 no longer factors beyond the control of the insurer which 

19 reasonably prevented such payment, whichever is later, shall 

20 bear interest at the rate set forth in s. 55.03. Interest 

21 begins to accrue from the date the insurer receives notice of 

22 the claim. The provisions of this subsection may not be 

23 waived, voided, or nullified by the terms of the insurance 

24 policy. If there is a right to prejudgment interest, the 

25 insured shall select whether to receive prejudgment interest 

26 or interest under this subsection. Interest is payable when 

27 the claim or portion of the claim is paid. Failure to comply 

28 with this subsection constitutes a violation of this code. 

29 Section 9. Effective January 1, 2008, and 

30 notwithstanding any other provision of law: 

31 

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1 (1) A new certificate of authority for the transaction 

2 of residential property insurance may not be issued to any 

3 insurer domiciled in this state which is a wholly owned 

4 subsidiary of an insurer authorized to do business in any 

5 other state. 

6 (2) The rate filings of any insurer domiciled in this 

7 state that is a wholly owned subsidiary of an insurer 

8 authorized to do business in any other state shall include 

9 information relating to the profits of the parent company of 

10 the insurer domiciled in this state. 

11 Section 10. Subsection (2) of section 626.9201

12 Florida Statutes, is amended to read: 

13 626.9201 Notice of cancellation or nonrenewal.-- 

14 (2) An insurer issuing a policy providing coverage for 

15 property, casualty, surety, or marine insurance shall give the 

16 named insured written notice of cancellation or termination 

17 other than nonrenewal at least 45 days prior to the effective 

18 date of the cancellation or termination, including in the 

19 written notice the reason or reasons for the cancellation or 

20 termination, except that: 

21 (a) When cancellation is for nonpayment of premium, a

t 22 least 10 days' written notice of cancellation accompanied by 

23 the reason therefor shall be given. As used in this paragraph, 

24 the term "nonpayment of premium" means the failure of the 

25 named insured to discharge when due any of his or her 

26 obligations in connection with the payment of premiums on a 

27 policy or an installment of such a premium, whether the 

28 premium or installment is payable directly to the insurer or 

29 its agent or indirectly under any plan for financing premiums 

30 or extension of credit or the failure of the named insured to 

31 maintain membership in an organization if such membership is a 

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1 condition precedent to insurance coverage. The term also 

2 includes the failure of a financial institution to honor the 

3 check of an applicant for insurance which was delivered to a 

4 licensed agent for payment of a premium, even if the agent 

5 previously delivered or transferred the premium to the 

6 insurer. If a dishonored check represents payment of the 

7 initial premium, the contract, and all contractual obligations 

8 are void ab initio unless the nonpayment is cured within the 

9 earlier of 5 days after actual notice by certified mail is 

10 received by the applicant or 15 days after notice is sent to 

11 the applicant by certified mail or registered mail, and, if 

12 the contract is void, any premium received by the insurer from 

13 a third party shall be refunded to that party in full; and 

14 (b) When such cancellation or termination occurs 

15 during the first 90 days during which the insurance is in 

16 force and the insurance is canceled or terminated for reasons 

17 other than nonpayment, at least 20 days' written notice of 

18 cancellation or termination accompanied by the reason therefore

19 shall be given except where there has been a material 

20 misstatement or misrepresentation or failure to comply with 

21 the underwriting requirements established by the insurer. 

2 Section 11. Notwithstanding section 9 of chapter 

23 2007-1, Laws of Florida, the internal design option provided 

24 in Section 1609.1.4.1, Florida Building Code, Building Volume, 

25 and Section R301.2.1.2, Florida Building Code, Residential 

26 Volume, shall remain in effect until June 1, 2007, for a 

27 building permit application made before that date. 

28 Section 12. Section 11 of this act shall take effect 

29 upon becoming a law and applies retroactively to January 25, 

30 2007, the effective date of chapter 2007-1, Laws of Florida. 

31 Section 11 of this act applies to any action taken with 

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1 respect to a building permit affected by section 9 of chapter 

2 2007-1, Laws of Florida, including any actions, legal or 

3 ministerial, pertaining to the issuance, revocation, or 

4 modifications of any building permit initiated or issued 

5 before, on, or after January 25, 2007, or pending as of 

6 January 25, 2007. If the retroactivity of any provision of 

7 Section 11 of this act or its retroactive application to any 

8 person or circumstance is held invalid, the invalidity does 

9 not affect the retroactivity or retroactive application of 

10 other provisions of Section 11 of this act. 

11 Section 13. Except as otherwise expressly provided in 

12 this act, this act shall take effect upon becoming a law. 

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CODING: Words stricken are deletions; words underlined are additions.


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